Individual
MICHELLE ROSE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3672 STATE ROUTE 225, DIAMOND, OH 44412-9721
(330) 557-3129
Mailing address
3672 STATE ROUTE 225, DIAMOND, OH 44412-9721
(330) 557-3129
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN 235101
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2191622
—
OH
Enumeration date
11/29/2006
Last updated
07/09/2007
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